Shared Flashcard Set

Details

HTN I and II
NOVA
12
Medical
Graduate
08/30/2010

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Cards

Term
Renin Release affected by various factors
Definition
low volume pressure
increase Na+ filtration in kidney
SNS
circulating factors: K+,Angiotensin II, Atrial natriuretic peptides
Term
Aldosterone has three effects
Definition
increased K+ excretion
decreased Na+ excretion
negative feedback on Renin
Term
Insulin resistance causes HTN; Four possible mechanisms
Definition
it stimulates SNS
it causes hypertrophy of smooth muscle
it increase renal Na+ retention
it modifies cellular ion transfer causing increase in intracellular Ca+
Term
Abnormal salt handling by the kidney leading to elevated levels of circulating ___________________ that can lead to accumulation of intracellular calcium
Definition
natriuretic factors
Term
what is the initial drug therapy for HTN? what stage HTN would get this durg?
Definition
Thiazide-type diuretics
Term
what condition benefits the most by controlling HTN?
Definition
Heart failure
Term
BP Measurement Techniques in office
Definition
5 min apart for 2 times sitting in a chair. confirm elevated reading in contralateral arm
Term
what technique is Indicated for evaluation of “white-coat” HTN.
Definition
ambulatory BP monitoring
Term
ARBs
Definition
Angiotensin II receptor blockers (ARBs
Term
BBs should be generally avoided in patients
Definition
Asthma, reactive airway disease, second or third degree heart block
Term
thiazide diuretics should be avoided in
Definition
pt with gout or pt with hx of hyponatremia
Term
ACEIs and ARBs are contraindicated
Definition
pregnant or about to be pregnant
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